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General NPI Number Information
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NPI Number | 1174950018
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Entity Type | Organization
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Legal Business Name | IONASENIOR SERVICES
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Dates
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Enumeration Date | 10/10/2013
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Last Update Date | 10/10/2013
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Provider Practice Location Address
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Address Line | 4125 ALBEMARLE ST NW
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City | WASHINGTON
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State | DC
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Zip | 20016-2105
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Country | US
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Telephone | 202-895-9469
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Fax | 202-895-0237
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Provider Business Mailing Address
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Address Line | 4125 ALBEMARLE ST NW
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City | WASHINGTON
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State | DC
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Zip | 20016-2105
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Country | US
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Telephone | 202-895-9469
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Fax | 202-895-0237
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Authorized Official
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Title or Position | DIRECTOR OF WELLNESS & ARTS CENTER
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Name | MS. SHARON O'CONNOR
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Credential |
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Telephone | 202-895-9469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 41004645
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License Number State | DC
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